A case of unilateral eyelid margin infestation by Pthiruspubis: challenging stigmas in modern healthcare

نویسندگان

1 Department of Veterinary Sciences, University of Pisa, Viale delle Piagge 2, 56127, Pisa, Italy

2 Department of Veterinary Sciences, University of Pisa, Viale delle Piagge 2, 56127, Pisa, Italy

3 Ophthalmologist, practitioner, Lucca, Italy

4 Department of Veterinary Sciences, University of Pisa, Viale delle Piagge 2, 56127, Pisa, Italy

doi
10.22034/ijd.2024.445114.1820
چکیده

Phthiriasis palpebrarum is a rare eyelid infestation caused by the louse Pthirus pubis, commonly known as the crab louse or pubic louse. Its primary habitat is pubic hair, but it can occasionally infest the eyebrows and eyelashes. Due to the stigma associated with sexually transmitted diseases (STDs), patients may feel too ashamed to seek medical attention or may underestimate or ignore the condition, potentially leading to worsening symptoms. A 55-year-old female patient consulted an ophthalmologist and later a dermatologist, reporting a persistent four-month history of itching and redness in her right eye. The eyelid margin exhibited hyperemia, and slitlamp examination revealed numerous microhemorrhages, along with lice and nits firmly attached to the eyelashes. Subsequent light microscopic analysis of the tangled eyelashes and crusts confirmed the presence of the ectoparasite Pthirus pubis. The patient received appropriate treatment, and at a 14-day follow-up, all symptoms had completely resolved.

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